| NPI | 1558893297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA 20A16920) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A16920) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2024-12-23 |