| NPI | 1053632588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NY 269549) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125058030) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2022-05-11 |