| NPI | 1649739129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: VA 0102206265) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0102206265) |
| 208D00000X General Practice (Licence: VA 0102206265) | |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2025-07-07 |