NPI | 1235393992 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: TX R0322) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX RO322) |
Enumeration Date | 2008-07-11 |
Last Update Date | 2019-02-21 |