| NPI | 1023274842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 249600) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2020-06-10 |