| NPI | 1710471701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX U2277) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX U2277) |
| 208000000X Pediatrics (Licence: MO 2021010802) | |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2023-08-07 |