| NPI | 1316935257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME85321) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: FL ME85321) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2010-12-28 |