| NPI | 1518127265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NY 235700) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MA 235910) |
| 207K00000X Allergy & Immunology (Licence: NY 235700) | |
| 208000000X Pediatrics (Licence: NY 235700) | |
| 208000000X Pediatrics (Licence: MA 235910) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2023-01-27 |