| 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 |