| NPI | 1831155761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: DC MD035681) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: VA 0101237222) |
| 207K00000X Allergy & Immunology (Licence: MD D0064272) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2019-04-11 |