| NPI | 1881041119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OH 35.145831) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: OH 57.248161) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2022-06-20 |