| NPI | 1497156061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: DE C7-0006152) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: NY 281243) | |
| 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: PA MT211280) | |
| Enumeration Date | 2014-09-14 |
| Last Update Date | 2016-08-22 |