| NPI | 1073741815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NE 26697) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MN 56993) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2017-06-22 |