| NPI | 1386627545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: WA MD60273895) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA AFE85420) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2018-08-02 |