| NPI | 1790245470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NJ 25MA12259300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD485341) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NJ 25MA12259300) | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2024-12-20 |