| NPI | 1649222787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA C54518) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX L7029) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2013-10-23 |