| NPI | 1184078099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A151014) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CA A151014) |
| Enumeration Date | 2016-04-17 |
| Last Update Date | 2026-03-17 |