| NPI | 1255421533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IL 036109213) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX T9476) |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2023-12-13 |