| NPI | 1487966149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: FL ME134206) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301096920) |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: MI 4301096920) | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: OH 35129059) | |
| Enumeration Date | 2010-07-11 |
| Last Update Date | 2019-12-23 |