| NPI | 1609072123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OH 35.089311) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.089311) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-06-12 |