| NPI | 1104288398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A192664) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207K00000X Allergy & Immunology (Licence: TX T2131) | |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2024-04-09 |