| NPI | 1962676726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NC 2013-01469) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2013-01469) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2016-10-26 |