| NPI | 1508962242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: OH 35.091106) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57-012148) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2016-09-13 |