| NPI | 1700198165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX Q2314) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MO 2012016167) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2014-12-17 |