| NPI | 1316491210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX T1453) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2019023011) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2021-07-29 |