NPI | 1255518767 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OH 35.097652) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125048941) |
Enumeration Date | 2008-01-28 |
Last Update Date | 2022-03-28 |