| NPI | 1548234743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: WA MD00028443) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: MI MM069013) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2010-06-25 |