| NPI | 1164782751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: KY TP071) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IN 01078832A) |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2022-07-21 |