| NPI | 1114134863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TN 46387) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 46387) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2013-06-20 |