| NPI | 1639199912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PA MD66113L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD066113L) |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: PA MD066113L) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2021-04-06 |