| NPI | 1669457057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: CA G40096) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G40096) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2007-07-08 |