| NPI | 1346458106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: VA 0101250150) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MD D72712) |
| 207K00000X Allergy & Immunology (Licence: TX N8603) | |
| 207K00000X Allergy & Immunology (Licence: LA MD.202114) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2023-08-09 |