| NPI | 1578640116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: WA MD00039392) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: OR MD23048) |
| 207K00000X Allergy & Immunology (Licence: AL MD9722) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-07-17 |