| NPI | 1255968731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 321021) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 321021) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2025-06-26 |