| NPI | 1578538476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: FL ME114793) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MI 4301077626) |
| 207K00000X Allergy & Immunology (Licence: FL ME 114793) | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: FL ME114793) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2023-03-30 |