| NPI | 1790941227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: WI 54979) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: WI 5497920) |
| 207K00000X Allergy & Immunology (Licence: IL 036.121282) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2025-03-05 |