| NPI | 1740779180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A163345) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CA A163345) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2024-04-26 |