| NPI | 1790780187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 158609) |
| Additional Taxonomies | 174400000X Specialist (Licence: CT 031162) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2015-12-16 |