| NPI | 1184699977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: WA MD60623801) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: VA 0101244890) |
| 207K00000X Allergy & Immunology (Licence: PA 5714) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2022-12-15 |