| NPI | 1083699409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NJ 25MA073362000) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: FL ME79314) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2016-12-16 |