| NPI | 1982726345 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA (CA)A84307)  | 
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: HI 15106)  | 
| 207KA0200X Allergy & Immunology, Allergy (Licence: CA A84307)  | |
| 208000000X Pediatrics (Licence: HI 15106)  | |
| 208000000X Pediatrics (Licence: CA A84307)  | |
| Enumeration Date | 2007-04-05 | 
| Last Update Date | 2021-12-15 |