| NPI | 1407053275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MI 4301089908) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: MI 4301089908) |
| 207R00000X Internal Medicine (Licence: MI 4301089908) | |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MI 4301089908) | |
| 208000000X Pediatrics (Licence: MI 4301089908) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301089908) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2018-10-02 |