| NPI | 1861492852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: VA 0101048568) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101048568) |
| Enumeration Date | 2005-07-30 |
| Last Update Date | 2017-03-17 |