| NPI | 1043309107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: VA 0101059354) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101059354) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2016-03-03 |