| NPI | 1467749341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MA 283333) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 22-) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2022-08-22 |