| NPI | 1750648580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: VA 0101282549) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NY 280239) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2024-10-01 |