| NPI | 1881748226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CO 51382) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 221184) |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: CO 51382) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2021-02-23 |