| NPI | 1932466430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: GA 82993) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: VA 0101262347) |
| 207R00000X Internal Medicine (Licence: LA MD.207889) | |
| 207R00000X Internal Medicine (Licence: GA 82993) | |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: GA 82993) | |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2022-06-10 |