| NPI | 1386270387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PA 489279) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CA 180177) |
| 208000000X Pediatrics (Licence: CA 180177) | |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2025-06-26 |