NPI | 1558892117 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA12749300) |
Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NJ 25MA12749300) |
390200000X Student in an Organized Health Care Education/Training Program | |
207K00000X Allergy & Immunology (Licence: NJ 25MA12749300) | |
208000000X Pediatrics (Licence: CA A169415) | |
Enumeration Date | 2017-03-24 |
Last Update Date | 2025-08-22 |