| NPI | 1184734758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: WV 16260) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: KY 29316) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-03-07 |