| NPI | 1225127129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: VA 0101243112) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101243112) |
| 207R00000X Internal Medicine (Licence: WV 21653) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2024-03-19 |