| NPI | 1245961309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IL 036.175112) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 32743) |
| 208000000X Pediatrics (Licence: MN 74589) | |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2025-06-05 |