| NPI | 1174103097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: WI 81503-21) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: WI 81503-21) | |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2024-06-19 |