| NPI | 1477877611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD61047502) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: UT 7597207-1205) |
| 207K00000X Allergy & Immunology (Licence: WA MD61047502) | |
| 208000000X Pediatrics (Licence: UT 7597207-1205) | |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2023-03-23 |