| NPI | 1770946071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MI 4301501719) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301501719) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2024-02-16 |