| NPI | 1932527983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: WI 65126-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 65126-20) |
| Enumeration Date | 2014-04-06 |
| Last Update Date | 2020-08-12 |