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 |