| NPI | 1053814863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: SD 15364) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IL 036.160246) |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2024-08-21 |