| NPI | 1134624562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0201X Internal Medicine Allergy & Immunology (Licence: TX U5924) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 390200000X) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2023-10-17 |