| NPI | 1265581342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: MD D0032303) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: DC MD13958) |
| 207KA0200X Allergy & Immunology, Allergy (Licence: VA 0101038896) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2011-11-16 |