| NPI | 1003319039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OH 58.033267) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT020213) |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2025-05-20 |