| NPI | 1962420695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: GA 60595) |
| Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: MO 2004008552) |
| 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: MO 2004008552) | |
| 207KA0200X Allergy & Immunology Allergy (Licence: GA 60595) | |
| 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: GA 60595) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2011-10-28 |