| NPI | 1255825501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MI 43510399878) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301114536) |
| 208000000X Pediatrics (Licence: MI 4301114536) | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: MI 43510399878) | |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2022-06-30 |