| NPI | 1700203817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PA MD479794) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IL 036.145424) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2023-01-30 |