| NPI | 1558361287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX H1789) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX H1789) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2016-06-01 |