| NPI | 1205806924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ MA056665) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: NJ 25MA056665) |
| 207K00000X Allergy & Immunology (Licence: NJ 25MA056665) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2017-02-22 |