| 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 |