| NPI | 1306870530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: FL ME68693) |
| Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: FL ME68693) |
| 207K00000X Allergy & Immunology (Licence: FL ME68693) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2022-12-30 |