| NPI | 1972879229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: FL ME132230) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: FL ME132230) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: FL ME132230) | |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2022-07-21 |