| NPI | 1235710302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IL 036.168136) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX W3592) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2026-05-08 |