| NPI | 1457855561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PA MD475232) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD475232) |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: PA MD475232) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2024-09-25 |