| NPI | 1982869897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NC 2015-00994) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: VA 0101252808) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2023-08-15 |