| NPI | 1083091789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 309855) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: PA OS021208) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2023-06-28 |