| NPI | 1518011857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: GA 58890) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TN 53926) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2023-04-11 |