| NPI | 1417535097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 186909) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CA 186909) |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2025-04-07 |