| NPI | 1619111366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CT 1619111366) |
| Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: CT 1619111366) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2020-07-01 |