| NPI | 1306209671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NJ 25MA10994300) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NJ A10056917454902) |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2021-06-02 |