| NPI | 1700380078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: LA 330160) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 330160) |
| 208000000X Pediatrics (Licence: LA 330160) | |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2024-12-02 |