| NPI | 1063451813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TN DO01251) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: GA 044989) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2021-04-12 |