| 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 |