| NPI | 1073861720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MS 28003) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 28003) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2026-06-02 |