| NPI | 1609566702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX w8455) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX w8455) |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2026-09-17 |