| NPI | 1558892117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA12749300) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A169415) |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NJ 25MA12749300) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207K00000X Allergy & Immunology (Licence: NJ 25MA12749300) | |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2025-12-05 |