| NPI | 1619920246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0201X Internal Medicine Allergy & Immunology (Licence: SC 31305) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: DE C10006636) |
| 207R00000X Internal Medicine (Licence: SC 31305) | |
| 207R00000X Internal Medicine (Licence: DE DEA#BD7946429) | |
| 207K00000X Allergy & Immunology (Licence: OH 35-088393) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-06-23 |