| NPI | 1407801608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TN MD0000031810) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TN 31810) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2015-05-07 |