| NPI | 1194721522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME84160) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME84160) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2020-07-21 |