| NPI | 1720246465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: NJ 25MA09015100) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology Allergy (Licence: NY 2488371) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2017-04-04 |