| NPI | 1952699233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 304095) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 304095) |
| 207R00000X Internal Medicine (Licence: VA 0101256338) | |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2021-05-20 |