| NPI | 1992331938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 321817-01) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 321817-01) |
| Enumeration Date | 2020-03-22 |
| Last Update Date | 2026-03-13 |