| NPI | 1508503954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IA MD-55219) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA MD-55219) |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2025-06-17 |