| NPI | 1649484189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NH 20014) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MA 244384) |
| 207K00000X Allergy & Immunology (Licence: IL 036120709) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2019-10-18 |