| NPI | 1861659187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 246051) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 246051) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2012-08-08 |