| NPI | 1992998405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MA 247005) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 247005) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2022-03-17 |