| NPI | 1639107980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 237223) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 237223) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2012-01-23 |