| NPI | 1083992960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 301121) |
| Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NY 301121) |
| 207KA0200X Allergy & Immunology, Allergy (Licence: NY 301121) | |
| 207R00000X Internal Medicine (Licence: NY 301121) | |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NY 301121) | |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2025-04-28 |