| NPI | 1851680888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PA MD440721) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: PA MT196251) |
| 208000000X Pediatrics (Licence: TX BP10030770) | |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2014-10-27 |