| NPI | 1962760322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD471658) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: PA MD471658) |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: PA MD471658) | |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2022-10-06 |