| NPI | 1497875074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MN 60393) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: WI 52628-20) |
| 208000000X Pediatrics (Licence: WI 52628-20) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2016-08-16 |