| NPI | 1417108234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PR 18230) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 18230) |
| 207KA0200X Allergy & Immunology, Allergy (Licence: PR 18230) | |
| 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: PR 18230) | |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2015-02-12 |