| NPI | 1104809276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OR MD12758) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR 12758) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2023-03-07 |