| NPI | 1619102068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: MN 54569) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MN 54569) |
| 208000000X Pediatrics (Licence: IL 125-55887) | |
| 208000000X Pediatrics (Licence: MN 105726) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: MN 54569) | |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2020-08-19 |