| NPI | 1184619298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 176143) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: NY 176143) |
| 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: NY 176143) | |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2012-04-04 |