| NPI | 1942493440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 245245) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 245245) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2010-07-28 |