| NPI | 1043402357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 230693) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CA 104650) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2016-10-06 |