| NPI | 1477695351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MN 53480) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MN 104968) |
| 207K00000X Allergy & Immunology (Licence: CA A107039) | |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: TX p4113) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 25109) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2018-06-27 |