NPI | 1831486182 |
---|---|
Former Name | JULIE THERESE ABRAHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: VA 0101259858) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.123231) |
207K00000X Allergy & Immunology (Licence: OH 35.123231) | |
Enumeration Date | 2011-07-07 |
Last Update Date | 2019-01-31 |