| NPI | 1659558203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: NY 307826) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CA A91729) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2021-03-15 |