| NPI | 1548729304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME158553) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME158553) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2024-07-26 |