| NPI | 1639227473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PA MD421515) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NJ 25MA07604400) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2010-06-09 |