| NPI | 1609132125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MN 73925) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: OH 35.134068) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2024-09-19 |