| NPI | 1134652449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NJ 25MA11461800) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2022-09-15 |