| NPI | 1770766719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: OH 34010304) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 58002649) |
| 208000000X Pediatrics (Licence: OH 58002649) | |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2021-12-27 |