| NPI | 1982191987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NC 2023-00824) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 89371) |
| 208000000X Pediatrics (Licence: NC 2023-00824) | |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2023-08-17 |