| NPI | 1104031327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: CA A102716) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NJ 25MA08204600) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2022-01-14 |