| NPI | 1134147267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 151007) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 151007) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2024-02-22 |