| NPI | 1265752919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME125109) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME125109) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2021-03-30 |