| NPI | 1255590345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MA 254302) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 254302) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2016-06-22 |