| NPI | 1336535525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: LA 308717) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 308717) |
| 208000000X Pediatrics (Licence: TX BP10053060) | |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2022-08-10 |