| NPI | 1851352249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CO 39234) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MN 39071) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2025-04-24 |