| NPI | 1649632654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: WA MD61282192) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX S2368) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2022-09-02 |