| NPI | 1386792430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PA MD060935L) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NJ 25MA06891700) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2010-06-09 |