| NPI | 1396773248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NJ MA51905) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA51905) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2024-04-08 |