| NPI | 1679550206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: MN 32524) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MN 32524) |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: WI 75087) | |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2021-05-07 |