| NPI | 1790097061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: PA MD448380) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT197037) |
| 208000000X Pediatrics (Licence: PA MD448380) | |
| 207K00000X Allergy & Immunology (Licence: PA MT197037) | |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2016-04-06 |