| NPI | 1972034460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: CT 72312) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 72312) |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2022-08-15 |