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 |