| NPI | 1558367698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: CT 030452) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 030452) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2009-03-19 |