| NPI | 1972593432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NC 2019-00028) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: SC 16048) |
| 207K00000X Allergy & Immunology (Licence: SC MD16048) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2023-10-30 |