| NPI | 1831509116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: LA 306318) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX S1951) |
| 208000000X Pediatrics (Licence: MI 4301105012) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301105012) | |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2020-01-24 |