| NPI | 1124569389 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A194588)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 84817)  | 
| Enumeration Date | 2017-03-20 | 
| Last Update Date | 2024-06-28 |