| NPI | 1962570309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: FL ME86606) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: FL ME86608) |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2022-07-21 |