| NPI | 1790957587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX P6175) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MS 21496) |
| 208000000X Pediatrics (Licence: MS 21496) | |
| 208000000X Pediatrics (Licence: TX P6175) | |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2024-03-18 |