| NPI | 1598966707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: PA MD468870) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: NJ 25MA10664500) |
| 207R00000X Internal Medicine (Licence: PA MD468870) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2019-11-01 |