| NPI | 1306005723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 261069) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NY 261069) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2021-12-01 |