| NPI | 1285920744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OH 35.124442) |
| Additional Taxonomies | 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: OH 35.124442) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2025-08-11 |