| NPI | 1386649143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: KS 04-27354) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MI 4301058986) |
| 207K00000X Allergy & Immunology (Licence: OH 35-06-7897-V) | |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2021-06-14 |