| NPI | 1043279698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 154458) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 154458) |
| 207RI0001X Internal Medicine, Clinical & Laboratory Immunology (Licence: NY 154458) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2008-04-10 |