| NPI | 1114999638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: WI 42813-02) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: WI 42813) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2016-11-03 |