| NPI | 1790712545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: RI MD15980) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MD D62474) |
| 207K00000X Allergy & Immunology (Licence: CT 037944) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2018-01-18 |