| NPI | 1316263858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: LA MD) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NJ 25MA09569300) |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2023-03-01 |