| NPI | 1710939715 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: CA A35950) | 
| Additional Taxonomies | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: CA A35950) | 
| Enumeration Date | 2006-05-17 | 
| Last Update Date | 2013-06-28 |