| NPI | 1427140177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME124562) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: FL ME124562) |
| 174400000X Specialist (Licence: WV 21119) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-01-30 |