| NPI | 1942407861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NJ 25MA08997400) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NY 245224) |
| 208000000X Pediatrics (Licence: NJ 25MA08997400) | |
| 208000000X Pediatrics (Licence: NY 245224) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2022-02-01 |