| NPI | 1467649525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME127615) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MA 233737) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2026-07-02 |