| NPI | 1922218973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX M6327) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M6327) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2022-07-21 |