| NPI | 1508830126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: WA 34295) |
| Additional Taxonomies | 207RA0201X Internal Medicine Allergy & Immunology (Licence: WA 34295) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2021-11-10 |