| NPI | 1023242377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 254536) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NJ 25MA08984900) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2024-07-02 |