| NPI | 1972825719 |
|---|---|
| Former Name | STACEY ESTEROW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NJ 25MB09682500) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 261699) |
| Enumeration Date | 2010-02-21 |
| Last Update Date | 2019-04-01 |