| NPI | 1093176927 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PR 22090) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 22090) | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-20 | 
| Last Update Date | 2025-01-06 |