| NPI | 1255855060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NC FS2618722) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: SC FS3160188) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2023-09-18 |