| NPI | 1952783151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: VA 0102205890) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MA 274443) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MA 274443) | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2020-09-30 |