| NPI | 1528208774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 2473) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: WV 2473) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-03-01 |
| Last Update Date | 2024-02-20 |