| NPI | 1902812738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 253830) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 253830) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2023-07-06 |