NPI | 1548676596 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PR 13542) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PR 13542) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 19679) | |
Enumeration Date | 2014-07-09 |
Last Update Date | 2021-08-05 |