| NPI | 1730110388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 232091) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 042259) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2023-03-10 |