| NPI | 1396722583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: TX G0037) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX G0037) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2021-09-23 |