| NPI | 1003855859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CT 040346) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 207617) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2013-05-13 |