| NPI | 1962744912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: DC MD047220) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ML60361291) |
| Enumeration Date | 2013-03-17 |
| Last Update Date | 2019-07-02 |