NPI | 1619916913 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: CA a81422) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CA a81422) |
Enumeration Date | 2006-06-05 |
Last Update Date | 2016-10-27 |