| NPI | 1992368856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PA MT224969) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10066859) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2022-07-01 |