| NPI | 1518371830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 299603-01) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 299603) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NY 299603) | |
| Enumeration Date | 2014-06-14 |
| Last Update Date | 2020-07-29 |