| NPI | 1811217300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A140836) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT197121) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2021-12-02 |