| NPI | 1770697112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: WA MD60102678) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: UT 68453341205) |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: WI 46653) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2021-06-23 |