| NPI | 1477687762 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 236489) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 236489) | 
| Enumeration Date | 2007-03-16 | 
| Last Update Date | 2009-02-19 |