| NPI | 1063418606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: FL ME0054784) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: FL ME0054784) |
| 207KI0005X Allergy & Immunology Clinical & Laboratory Immunology (Licence: FL ME0054784) | |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2024-04-24 |