| NPI | 1972802130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 138808) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA MD207111) |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: CA A138808) | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: LA 207111) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-03-26 |
| Last Update Date | 2020-04-24 |