| NPI | 1770541930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA 20863) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: IA 20863) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2009-09-02 |