| NPI | 1235558222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MO 2019032027) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: KS 04-42483) |
| 207R00000X Internal Medicine (Licence: IL 125064782) | |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2020-10-21 |