| NPI | 1891776548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NJ 25MA10147400) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NY 266907) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2018-03-17 |