| NPI | 1902120553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301055407) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: MI 4301055407) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-03-24 |