| NPI | 1821342841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NY 275572) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX P3300) |
| 208000000X Pediatrics (Licence: NY 275572) | |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2023-09-01 |