| NPI | 1922200070 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: MI 5101018682) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101018682) | 
| Enumeration Date | 2007-06-01 | 
| Last Update Date | 2020-10-23 |