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 | 2024-10-14 |