| NPI | 1548238850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: WI 67948-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 22927) |
| Enumeration Date | 2006-03-11 |
| Last Update Date | 2020-11-04 |