| NPI | 1790979813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME107608) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME107608) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2013-08-23 |