| NPI | 1578827440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: NJ 25MA10112000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD472736) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2021-01-28 |