| NPI | 1992780316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: NY 182819) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: NJ MA53549) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2014-02-19 |