| NPI | 1912787813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: IL 209.002443041.253592) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209.002443041.253592) |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2023-09-29 |