| NPI | 1861782724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD452084) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: PA MD452084) |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: PA MT211077) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2019-07-03 |