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 |