| NPI | 1457533077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 246978) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125048589) |
| 208000000X Pediatrics (Licence: IL 125048589) | |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2023-07-01 |