NPI | 1578040317 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OH 34.015583) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL UO6296) |
207K00000X Allergy & Immunology (Licence: GA 105453) | |
Enumeration Date | 2018-07-24 |
Last Update Date | 2025-10-06 |