| NPI | 1710148408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 258531) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 258531) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NY 258531) | |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2016-11-03 |