| NPI | 1104100049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NJ 25MA08998100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08998100) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2023-08-07 |