| 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 |