| NPI | 1821157942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX M2069) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M2069) |
| 208000000X Pediatrics (Licence: CA A96121) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX m2069) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2018-08-28 |