| NPI | 1013448505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KY 53792) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 42228) |
| 208000000X Pediatrics (Licence: KY 53792) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2023-05-24 |