| NPI | 1629367081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MI 4301501657) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IL 036135083) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2020-09-16 |