| NPI | 1992812358 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA g26617)  | 
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CA G-26617)  | 
| Enumeration Date | 2006-08-23 | 
| Last Update Date | 2015-01-15 |