| NPI | 1760452593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A99968) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: VA 0101235126) |
| 207R00000X Internal Medicine (Licence: VA 0101235126) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2024-07-10 |