| NPI | 1699158493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A172887) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7507) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2025-08-08 |