| NPI | 1750329744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CO DR0038190) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CO DR0038190) |
| 207R00000X Internal Medicine (Licence: CO DR0038190) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2019-08-29 |