| NPI | 1215295605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: AL 32967) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 32967) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2019-02-14 |