| NPI | 1891746210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MN 41242) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MN 41242) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2017-02-03 |