| NPI | 1326486150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 54160) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology Allergy (Licence: TN 54160) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2018-03-17 |