| NPI | 1063423119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX L3660) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: TX L3660) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2009-10-21 |