| NPI | 1003279399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX U8015) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: ND 20674) |
| 207R00000X Internal Medicine (Licence: DC MD048479) | |
| 207R00000X Internal Medicine (Licence: TX U8015) | |
| 208000000X Pediatrics (Licence: TX U8015) | |
| 208000000X Pediatrics (Licence: DC MD048479) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2024-04-23 |