| NPI | 1376501957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NC 200200915) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 200200915) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2010-08-13 |