| NPI | 1568777035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MA 273609) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 4699) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: CA A133318) | |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2018-06-11 |