NPI | 1881078616 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.146764) |
Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: IL 036.146764) |
207RA0201X Internal Medicine, Allergy & Immunology (Licence: IL 036.146764) | |
Enumeration Date | 2015-07-10 |
Last Update Date | 2020-06-24 |