| NPI | 1962798801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: WI 64046) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 64046) |
| 208000000X Pediatrics (Licence: IL 125-060259) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2019-01-16 |