| NPI | 1114354834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: UT 7099824-1206) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: UT 7099824-1206) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2019-12-04 |