| NPI | 1003074279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: GA 069204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A103848) |
| 207R00000X Internal Medicine (Licence: IL 036.124491) | |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2014-07-30 |