| NPI | 1649322926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 171273) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NY 171273) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2011-05-04 |