NPI | 1588195457 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A198890) |
Additional Taxonomies | 207KI0005X Allergy & Immunology Clinical & Laboratory Immunology (Licence: MD D0100971) |
2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: CA A198890) | |
Enumeration Date | 2017-03-23 |
Last Update Date | 2024-09-13 |