| NPI | 1205006657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A102269) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: AZ 48106) |
| Enumeration Date | 2008-03-01 |
| Last Update Date | 2022-05-27 |