| NPI | 1508182213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX U5937) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: AR E-9312) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2023-11-17 |