| NPI | 1518229855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MA 286605) |
| Additional Taxonomies | 207RA0201X Internal Medicine Allergy & Immunology (Licence: MD D0076598) |
| 207RA0201X Internal Medicine Allergy & Immunology (Licence: WA 60917702) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2022-10-26 |