| NPI | 1215115985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: TN 64766) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 64766) |
| 208000000X Pediatrics (Licence: IL 036.119705) | |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2022-03-31 |