| NPI | 1730384322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: MO 2009005694) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2009005694) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-11-12 |