| 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 |