| NPI | 1861447310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: LA 320359) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MS 19828) |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: MS 19828) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2019-08-01 |