| NPI | 1740281955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NJ 25MA07702500) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: PA MD424863) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2024-04-08 |