| NPI | 1477622280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NH 14669) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: OR MD27300) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2011-09-16 |