| NPI | 1629105929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A112540) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: MI 4301090547) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2021-12-07 |