| NPI | 1659665891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: PA MD450985) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT199539) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2017-03-10 |