NPI | 1326249145 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: MI 4301083245) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301083245) |
Enumeration Date | 2007-05-30 |
Last Update Date | 2017-01-20 |