| NPI | 1821393174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 60258306) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NY 258306) |
| 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: NY 258306) | |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2014-10-07 |