| NPI | 1326421389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX S0309) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 201480) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2020-09-30 |