| NPI | 1457884512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME158790) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 306162) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2024-07-03 |