| NPI | 1902267222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: LA MD.025002) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA MD.025002) |
| 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: CA A162224) | |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2025-08-19 |