| NPI | 1932632692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MA 1020053) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO DR.0068730) |
| Enumeration Date | 2017-04-09 |
| Last Update Date | 2024-08-21 |