| NPI | 1669435483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME0059769) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME0059769) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2024-06-14 |