| NPI | 1700898434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL 29708) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: GA 021322) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-07-09 |