| NPI | 1932323904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: VA 0102202260) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0102202260) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2023-06-21 |