| NPI | 1154611804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NJ 25MA11723600) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NY 280625) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2023-07-25 |