| NPI | 1720063159 |
|---|---|
| Former Name | DEBORAH V GRUNWALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NY 1382471) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 1382471) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2017-01-03 |