| NPI | 1639456098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: VA 0101254092) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101254092) |
| Enumeration Date | 2011-11-12 |
| Last Update Date | 2024-07-29 |