| NPI | 1003962689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: TX N2917) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: CA A104888) |
| 207KA0200X Allergy & Immunology, Allergy (Licence: CO 44555) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2014-01-07 |