| NPI | 1639369853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: UT 6562902-1205) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CA A102467) |
| 207K00000X Allergy & Immunology (Licence: LA MD.204564) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2019-04-23 |