| NPI | 1699137075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: KS 04-44407) |
| Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: MO 2019022218) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2025-12-07 |