| NPI | 1649436940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MA Board eligible) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2008018211) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2021-12-21 |