| NPI | 1346201985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CO 41874) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 41874) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2013-05-30 |