| NPI | 1629124235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CO 46432) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL-2000) |
| 207R00000X Internal Medicine (Licence: CO 46432) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2014-08-04 |