| NPI | 1932315769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: VA 0101273481) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2004035766) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: KS 0434939) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2022-05-04 |