| NPI | 1083886147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 245549) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 245549) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2023-09-26 |