| NPI | 1609296268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CO DR.0065981) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: OH 35.135856) |
| 207R00000X Internal Medicine (Licence: OH 35.135856) | |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2021-07-12 |