| NPI | 1205880655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: WI 53784) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: PA MD428745) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2013-01-31 |