| NPI | 1760654263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: CA A135200) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: AZ 48355) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2016-03-18 |