| NPI | 1922197235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MN 71101) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 002315) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MN 71101) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2022-06-23 |