| NPI | 1962491373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IA MD-24377) |
| Additional Taxonomies | 207RA0201X Internal Medicine Allergy & Immunology (Licence: IA 24377) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2022-05-03 |