| NPI | 1457663452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA C145265) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MI 4301081234) |
| 208000000X Pediatrics (Licence: CA C145265) | |
| 208000000X Pediatrics (Licence: MI 4301081234) | |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2022-01-24 |