| NPI | 1548340748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: VA 0101249276) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: AZ 29320) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-09-03 |