| NPI | 1265401699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NJ MA075732) |
| Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NJ MA075732) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2010-07-20 |