| NPI | 1033316724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN MD49605) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2007015088) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2007015088) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2013-11-05 |