| NPI | 1407809023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: VA 0101051640) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101051640) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2012-12-14 |