NPI | 1700815677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: VA 0101239697) |
Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: DC 036032) |
Enumeration Date | 2006-07-02 |
Last Update Date | 2015-05-04 |