| NPI | 1194173252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PR 21241) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 21241) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2023-05-30 |