| NPI | 1306993126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: GA 073306) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: FL ME115621) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2015-09-01 |