| NPI | 1255868485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: OK 32991) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 32991) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2022-05-18 |