| NPI | 1457581290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME137396) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: FL ME137396) |
| 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: FL ME137396) | |
| 208000000X Pediatrics (Licence: PA MD449342) | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: FL ME137396) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2019-08-27 |