| NPI | 1639162696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: KS 22450) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MO R-1-J09) |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2007-07-08 |