| NPI | 1215279427 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: FL ME128195) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME128195) | 
| Enumeration Date | 2013-03-26 | 
| Last Update Date | 2021-03-17 |