| NPI | 1790877892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: AL 26385) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 00026385) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2023-04-18 |