| NPI | 1356563670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: RI MD16434) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NY 235397) |
| 207K00000X Allergy & Immunology (Licence: NJ 25MA08100900) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2019-11-20 |