| NPI | 1508360439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 309501) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 309501) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2023-07-25 |