| NPI | 1053730655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: DC MD047818) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: VA 0101268137) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2020-01-23 |