| NPI | 1417162017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: PA MD429301) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: PA MD429301) |
| 208000000X Pediatrics (Licence: PA MD429301) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2013-04-12 |