| NPI | 1629224985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine Allergy & Immunology (Licence: MD DOD80650) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: SC 40366) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2020-01-31 |