| NPI | 1881078491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TN 66455) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MO 2021036767) |
| 207R00000X Internal Medicine (Licence: IL 036143990) | |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2022-09-21 |