| NPI | 1689698094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CT 031570) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 031570) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |