NPI | 1700815677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MD D0102827) |
Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: VA 0101239697) |
2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: DC 036032) | |
Enumeration Date | 2006-07-02 |
Last Update Date | 2025-07-28 |