| NPI | 1174977227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: NJ 25MA11479500) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA11479500) |
| 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: PA MT217391) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2022-10-28 |