| NPI | 1205128089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A122537) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A122537) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2021-09-01 |