| NPI | 1992768980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX M6504) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: OH 35078699A) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2020-09-04 |