| NPI | 1447461108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: VA 0101253799) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 200801988) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2017-03-10 |