| NPI | 1356367650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME26358) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology Allergy (Licence: FL ME26358) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2023-01-19 |