| NPI | 1346551637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 0052611) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MO 2010017743) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2014-02-21 |