NPI | 1619464880 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: TX S6913) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX S6913) |
207RA0201X Internal Medicine, Allergy & Immunology (Licence: TX S6913) | |
Enumeration Date | 2018-04-13 |
Last Update Date | 2025-08-26 |