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 |