| NPI | 1619990876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PA MD 033650E) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD033650E) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2010-09-16 |