NPI | 1629431747 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: DC MD600001699) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MO 2019010035) |
207K00000X Allergy & Immunology (Licence: CA A173985) | |
207K00000X Allergy & Immunology (Licence: VA 0101283188) | |
208000000X Pediatrics (Licence: MO 2019010035) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-05 |
Last Update Date | 2024-10-19 |