| NPI | 1245495928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 271096) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: NJ 25MA09206700) | |
| 207K00000X Allergy & Immunology (Licence: NJ 25MA09206700) | |
| 207R00000X Internal Medicine (Licence: NY 271096) | |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2014-07-03 |