| NPI | 1336638949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PA OS022690) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MB10550800) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2023-04-28 |