| NPI | 1073776555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA C151621) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IL 036.125049) |
| Enumeration Date | 2008-07-06 |
| Last Update Date | 2021-04-09 |