| NPI | 1306973870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ MA08059600) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: NJ 25MA08059600) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2015-10-05 |