| NPI | 1992152938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PA MD470240) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 140431) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2021-09-14 |