NPI | 1518492909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MA 1018791) |
Additional Taxonomies | 207KA0200X Allergy & Immunology Allergy (Licence: PA OS021966) |
2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: MA 1018791) | |
Enumeration Date | 2017-04-24 |
Last Update Date | 2024-07-25 |