| NPI | 1407971559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: VA 0101242374) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MD D0059363) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2015-11-17 |