| NPI | 1417086687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: DC MD33876) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD33876) |
| 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: DC MD33876) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2009-06-01 |