| NPI | 1679991954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MD D89604) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MI 4301116921) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2020-08-03 |