| NPI | 1033201074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: AZ 2176) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ND PAC0542) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2019-07-02 |