| NPI | 1992988844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MD D0068555) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: DC MD037803) |
| 207K00000X Allergy & Immunology (Licence: NY 240020) | |
| 207K00000X Allergy & Immunology (Licence: VA 0101245002) | |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2023-11-20 |