| NPI | 1033301759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO 51120) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N3824) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN8891) | |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2021-02-09 |