| NPI | 1912018136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PA OS006162L) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: DE C20004274) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |