| NPI | 1134583560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MA 287100) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NH 21380) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2021-06-11 |