| NPI | 1326332362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NC 2018-00207) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101252309) |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: FL ME143453) | |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2022-06-07 |