| NPI | 1427039478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MA 73716) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 73716) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2019-12-09 |