| NPI | 1508857046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NY 214951) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NJ 25MA07593700) |
| 207K00000X Allergy & Immunology (Licence: NY 214951) | |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2022-10-05 |