| NPI | 1538122247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME0084330) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME84330) |
| 207K00000X Allergy & Immunology (Licence: FL MD0084330) | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2020-11-25 |