| NPI | 1588196968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NC 2022-01463) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: NC 2022-01463) |
| 208000000X Pediatrics (Licence: NC 2022-01463) | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NC 2022-01463) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2023-12-18 |