| NPI | 1225456650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 288429) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 288429) |
| 208000000X Pediatrics (Licence: LA PGY.202616) | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2022-10-14 |