| NPI | 1760692941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CT 045246) |
| Additional Taxonomies | 174400000X Specialist (Licence: CT 045246) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2013-04-17 |