| NPI | 1699930552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MN 61890) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 61890) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2021-03-12 |