| NPI | 1255836409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OH 35.148331) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: OH 35.148331) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207KA0200X Allergy & Immunology, Allergy (Licence: MI 4351038200) | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2023-11-09 |