| NPI | 1548550916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: MN 63961) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: NY 281889) |
| 208000000X Pediatrics (Licence: NY 281889) | |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2018-09-20 |