| NPI | 1972890028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OH 35-148878) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125060551) |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: MI 4301113303) | |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2024-02-27 |