| NPI | 1205894607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: CT 49738) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CT 49738) |
| 207K00000X Allergy & Immunology (Licence: MA 217989) | |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MA 217989) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-06-15 |