| NPI | 1932200557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MN 64687) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: WI 38460) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2019-07-25 |