| NPI | 1942648084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 278201) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MA 278201) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2019-11-13 |