NPI | 1760916217 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PA 12306) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA 415071) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-11 |
Last Update Date | 2023-06-07 |