| NPI | 1144494196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CO 51405) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: OH 35-096065) |
| Enumeration Date | 2008-04-21 |
| Last Update Date | 2012-09-06 |