| NPI | 1215937453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 188438-1) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 188438-1) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2023-03-07 |