| NPI | 1356604169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NC 37400027) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: SC 90061) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2024-01-17 |