| NPI | 1578645834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MI 4301104209) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: OH 35087487) |
| 207KA0200X Allergy & Immunology, Allergy (Licence: MI 4301104209) | |
| 207R00000X Internal Medicine (Licence: MI 4301104209) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2013-10-14 |