| NPI | 1578713707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A115558) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A115558) |
| 207R00000X Internal Medicine (Licence: HI 16139) | |
| 207R00000X Internal Medicine (Licence: OH 35096723) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57-014949) | |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2022-01-24 |