| NPI | 1851754626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MN 79453) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101263141) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2025-05-13 |