| NPI | 1528156023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MA 271794) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07954900) |
| 207R00000X Internal Medicine (Licence: MO 2005013497) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2022-07-21 |