| NPI | 1710181375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OH 35.098519) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP1-0026317) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2025-01-14 |