NPI | 1295179497 |
---|---|
Former Name | ELIZABETH AMANDA LOO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IL 036.151019) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A135609) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-04-18 |
Last Update Date | 2020-01-31 |