| NPI | 1174159198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: OH 35.152439) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: OH 35.152439) |
| 207R00000X Internal Medicine (Licence: TN 67875) | |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2025-06-29 |