Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | G68413 | CA |
NPI | 1194106245 |
---|---|
Provider Name | Dr. Debora Ellen Williams-Herman |
First Address | Princeton, NJ 08540-1427 |
Second Address | King Of Prussia, PA 19406-1310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2015 |
Last Update Date | 15/06/2015 |