| NPI | 1477758886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OH 35.132993) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CA A121548) |
| 208000000X Pediatrics (Licence: NY 251023) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-11-10 |