| NPI | 1205852464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NJ 25MA07463200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07463200) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2021-01-21 |