| NPI | 1689136665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: AZ 76018) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.248249) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2025-06-24 |