| NPI | 1790812246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: AR E-7110) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology Allergy (Licence: AR IN PROGRESS) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2021-07-15 |