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 |