| NPI | 1528300639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: GA 76158) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 76158) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2019-10-31 |