| NPI | 1700107323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX P8400) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL L.3306) |
| 207Q00000X Family Medicine (Licence: TX P8400) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2024-02-26 |