| NPI | 1336381698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TN 48838) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MD D0076860) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2020-04-22 |