| NPI | 1114029972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MD D17454) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: DC 7036) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2008-07-29 |