| NPI | 1740288729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX K1693) |
| Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: TX K1693) |
| 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: TX K1693) | |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2016-02-27 |