| NPI | 1710508072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: ND 22623) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME0162797) |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2025-07-29 |