| NPI | 1376533091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: KY 17816) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 17816) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2016-07-27 |