| NPI | 1992990535 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CT 046434)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 046434)  | 
| Enumeration Date | 2007-09-06 | 
| Last Update Date | 2019-04-24 |