| NPI | 1225422280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TN 61122) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207K00000X Allergy & Immunology (Licence: GA 85855) | |
| 208000000X Pediatrics (Licence: TN 61122) | |
| 208000000X Pediatrics (Licence: GA 85855) | |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2020-12-21 |