| NPI | 1417119322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MA 239103) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125051635) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2009-12-18 |