| NPI | 1639679772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PR 22675) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 6124565) |
| 207R00000X Internal Medicine (Licence: PR 22675) | |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2025-10-20 |