| NPI | 1770999765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: CA A136879) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA09518800) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2023-09-26 |