| NPI | 1033343439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: GA 78171) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology Allergy (Licence: GA 71871) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2014-08-02 |