| NPI | 1023462868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TN 3808) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: AR E-14133) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2022-06-30 |