| NPI | 1407108608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 267125) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: PA MD441054) |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NY 267125) | |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2021-12-08 |