| NPI | 1861791592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: LA 305331) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TN 55107) |
| 207K00000X Allergy & Immunology (Licence: CA 1240-A128853) | |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2022-07-21 |