| NPI | 1255330486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: GA 91503) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MI 3747) |
| 207R00000X Internal Medicine (Licence: MI 3747) | |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2022-11-04 |