| NPI | 1336427814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 274895) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NJ 25MA09831600) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2024-07-29 |