| NPI | 1407234347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX R8276) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX R8276) |
| 208000000X Pediatrics (Licence: TX BP1-0053413) | |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2023-04-04 |