| NPI | 1700182300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MA 285523) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD443339) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2023-02-10 |