| NPI | 1740549435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: NY 278914) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
| 207K00000X Allergy & Immunology (Licence: NY 278914) | |
| 208000000X Pediatrics (Licence: NY 278914) | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NY 278914) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2023-01-03 |