| NPI | 1518200948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: GA 69218) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 69218) |
| 208000000X Pediatrics (Licence: GA 69218) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA 69218) | |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2023-11-01 |