| NPI | 1659714319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NC 2017-01530) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: NC 2017-01530) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NC 2017-01530) | |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2023-04-18 |