| NPI | 1205198512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NH 33542) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MD D0085085) |
| 207K00000X Allergy & Immunology (Licence: PA TMD004640) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207K00000X Allergy & Immunology (Licence: WI 5125-320) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2025-01-16 |