NPI | 1770112435 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: SC 93608) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TN 5115) |
Enumeration Date | 2020-04-05 |
Last Update Date | 2025-06-15 |