NPI | 1326228982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NJ 25MA0832810) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08328100) |
207R00000X Internal Medicine (Licence: PA MD432141) | |
Enumeration Date | 2007-11-11 |
Last Update Date | 2012-08-01 |