| NPI | 1013300227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: GA 92364) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 008435) |
| 208000000X Pediatrics (Licence: GA 92364) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2023-02-18 |