| NPI | 1669859161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CO 29682) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: CO 29682) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |