| NPI | 1659570174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: CA A99871) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A99871) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2011-02-09 |