| NPI | 1750311213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: WY 11972A) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: FL 48973) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2023-03-07 |