| NPI | 1902920663 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: TX P5064) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD433875) | 
| 208000000X Pediatrics (Licence: NY 240863) | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: PA MD433875) | |
| Enumeration Date | 2007-03-19 | 
| Last Update Date | 2018-05-22 |