| NPI | 1831648344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PA MD483941) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NJ 25MA10849200) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2024-04-30 |