| NPI | 1063573186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: MD D58774) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MD D58774) |
| 207KI0005X Allergy & Immunology Clinical & Laboratory Immunology (Licence: MD D58774) | |
| 207R00000X Internal Medicine (Licence: MD D58774) | |
| 207RA0201X Internal Medicine Allergy & Immunology (Licence: MD D58774) | |
| 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: MD D58774) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2016-05-11 |