| NPI | 1225039712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PA MD463004) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: AR E4022) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: PA MD463004) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-10-06 |