| NPI | 1336672682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NY 307078-01) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 307087-01) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2023-08-14 |