| NPI | 1538364450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: WA MD60279701) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: TX N7557) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: OR MD157966) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2012-09-06 |