| NPI | 1114100583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MD D42194) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: MD D42194) |
| Enumeration Date | 2007-12-08 |
| Last Update Date | 2025-03-20 |