NPI | 1124636881 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0201X Internal Medicine Allergy & Immunology (Licence: WI 85702-20) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0009871) |
Enumeration Date | 2020-07-20 |
Last Update Date | 2025-08-27 |