| NPI | 1902303753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OH 57.255890) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.255890) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2024-07-15 |