| NPI | 1962843730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NY 288186) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY x) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2022-05-12 |