| NPI | 1154671873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 319721) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MN 62130) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116024852) | |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2022-11-25 |