| NPI | 1689832800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: MD D80140) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD438094) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2016-09-15 |