| NPI | 1619165743 |
|---|---|
| Former Name | MALIENA MICHI DOWD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME102587) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CT 73221) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2023-06-12 |