| NPI | 1548318488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: IL 036-101008) |
| Additional Taxonomies | 207QA0401X Family Medicine Addiction Medicine (Licence: IL 036-101008) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2021-12-28 |