| NPI | 1922329465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: VA 0101271887) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX Q4937) |
| 207R00000X Internal Medicine (Licence: IL 125058367) | |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2024-05-04 |