| NPI | 1710961602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NJ 25MA05945500) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NJ MD59455) |
| Enumeration Date | 2005-12-04 |
| Last Update Date | 2023-10-30 |