| NPI | 1164736344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: PR 18792) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 18792) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2022-04-26 |