| NPI | 1205885308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: WV 20422) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: VA 0101056752) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2015-07-10 |