| NPI | 1205330735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PR 22337) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 22337) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2024-10-04 |