| NPI | 1003850439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PA MD428476) |
| Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: PA MD 428476) |
| 207K00000X Allergy & Immunology (Licence: NJ 25MA08725000) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2014-10-02 |