| NPI | 1982022265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OR MD211432) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD211432) |
| 208000000X Pediatrics (Licence: OR MD211432) | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2023-01-20 |