| NPI | 1841391141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CO 21346) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX D8157) |
| 208000000X Pediatrics (Licence: CO 21346) | |
| 208000000X Pediatrics (Licence: TX D8157) | |
| 208D00000X General Practice (Licence: CO 21346) | |
| 208D00000X General Practice (Licence: TX D8157) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |