| NPI | 1982903498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MD D0084243) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MA 261774) |
| 207K00000X Allergy & Immunology (Licence: TX P2167) | |
| 208000000X Pediatrics (Licence: TX P2167) | |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2019-05-08 |