| NPI | 1720474372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: VA 0101281890) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: DC MD048090) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2024-12-04 |