| NPI | 1912214495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MO 2014029978) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: KS 04-37521) |
| 207K00000X Allergy & Immunology (Licence: CA 145681) | |
| 208000000X Pediatrics (Licence: KS 04-37521) | |
| 208000000X Pediatrics (Licence: MO 2014029978) | |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2021-11-22 |