| NPI | 1588195317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: OH 35.139672) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.139672) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2022-07-26 |