| NPI | 1689084816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PA MD461807) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NJ 25MA11281400) |
| 207K00000X Allergy & Immunology (Licence: NY 298665) | |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2022-03-04 |