| NPI | 1982947958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: KY TP320) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10036216) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2015-05-12 |