NPI | 1548572670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: IL 036-132204) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IL 036-132204) |
208000000X Pediatrics (Licence: IL 036-132204) | |
Enumeration Date | 2010-07-06 |
Last Update Date | 2022-04-05 |