| NPI | 1184967770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IL 036149321) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: WI 65373-20) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2021-10-12 |