| NPI | 1093703134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PA MD073671L) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD073671L) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2012-12-14 |