| NPI | 1861793192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: KY 62363) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: FL ME129301) |
| 208000000X Pediatrics (Licence: PR 12698) | |
| 208000000X Pediatrics (Licence: FL ME129301) | |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2026-08-13 |