| NPI | 1831457043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: VA 0101278799) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 27781) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2024-05-08 |