| NPI | 1720007040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MS 12482) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS 12482) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-11 |