| NPI | 1609078708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: CT 050699) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP01038) |
| 207K00000X Allergy & Immunology (Licence: CT 050699) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2014-03-03 |