| NPI | 1407240658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: CO 62250) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125066389) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2020-04-27 |