| NPI | 1235157637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: ND 10422) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036109307) |
| 208000000X Pediatrics (Licence: IL 036109307) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2017-04-11 |