| NPI | 1467794644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MN 60145) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 60145) |
| 207R00000X Internal Medicine (Licence: IL 125063406) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2020-01-03 |