| NPI | 1790885234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: WI 46127-20) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IL 036-097041) |
| 207R00000X Internal Medicine (Licence: IL 036097041) | |
| 208000000X Pediatrics (Licence: IL 036097041) | |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2023-06-23 |