| NPI | 1891776621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 14542) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: SC 14542) |
| 207KA0200X Allergy & Immunology Allergy (Licence: SC SC14542) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2019-12-31 |