| NPI | 1619363314 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: CA A153858)  | 
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: IL 036.153084)  | 
| Enumeration Date | 2015-04-09 | 
| Last Update Date | 2023-03-07 |