| NPI | 1386634541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NC 9900538) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: VA 0101270219) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2023-10-31 |