| NPI | 1467688069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: WA MD60360628) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60360628) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2020-06-22 |