| NPI | 1447744750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: TX U5903) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: WI 75342-20) |
| 208000000X Pediatrics (Licence: WI 75342-20) | |
| 208000000X Pediatrics (Licence: MI 4301115758) | |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2023-09-02 |