| NPI | 1407134505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IL 036140644) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: IL 036140644) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2022-07-21 |