| NPI | 1811004476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA 84762) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 229490) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-05-28 |