| NPI | 1609238369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OH 35.136165) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.136165) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2022-03-30 |