| NPI | 1306474093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MA 1023713) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: GA 095084) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2025-06-19 |