| NPI | 1962483685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 177215) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 177215) |
| 208000000X Pediatrics (Licence: NY 177215) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2022-10-04 |