| NPI | 1376065813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MN 71240) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: WI 70127-20) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-07-15 |
| Last Update Date | 2024-05-09 |