| NPI | 1750556106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: GA 062321) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MO 2008010182) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2019-10-29 |