NPI | 1548792203 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: PA MT213508) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT213508) |
Enumeration Date | 2017-03-31 |
Last Update Date | 2020-06-26 |