| NPI | 1629455472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: AL MD.35650) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: AL MD.35650) |
| 208000000X Pediatrics (Licence: AL MD.35650) | |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2021-08-05 |