| NPI | 1225526585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: VA 0101284107) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MD D0101300) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2025-01-28 |