| NPI | 1255884672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A201753) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: KS 04-44754) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2025-09-02 |