| NPI | 1174787170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A90768) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX N0576) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2012-07-31 |