NPI | 1225249113 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: DE C1-0012638) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NC 2010-02132) |
207R00000X Internal Medicine (Licence: OH 57009457) | |
Enumeration Date | 2007-05-24 |
Last Update Date | 2020-08-10 |