| NPI | 1144649575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MA 281421) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MN 76966) |
| 207K00000X Allergy & Immunology (Licence: OH 34.013012) | |
| 207K00000X Allergy & Immunology (Licence: MA 281421) | |
| 207K00000X Allergy & Immunology (Licence: NY 297572) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2024-05-15 |