| NPI | 1760400634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MA 227926) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 227926) |
| 207K00000X Allergy & Immunology (Licence: NY 235779) | |
| 207K00000X Allergy & Immunology (Licence: NH 14297) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2011-09-29 |