| NPI | 1275528465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NJ MA053473) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NY 151152) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2007-07-08 |