| NPI | 1285049775 |
|---|---|
| Former Name | JAVEN ROSE PAULY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IA DO-04995) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7260) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2020-07-29 |