| NPI | 1689938789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MI 4301101430) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301101430) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2018-07-11 |