| NPI | 1811458821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: VA 0101283379) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101283379) |
| Enumeration Date | 2019-03-31 |
| Last Update Date | 2024-11-21 |