| NPI | 1891994208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME 103424) |
| Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: FL ME 103424) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2020-10-27 |