| NPI | 1790776623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MN 46609) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 46609) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2016-01-08 |