| NPI | 1285722322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IN 01040824) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: KY 36742) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-12-31 |