| NPI | 1629212592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 270961-1) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NY 270965) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2022-05-01 |