| NPI | 1033365671 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D72228)  | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program | 
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: DC MD038638)  | |
| Enumeration Date | 2008-08-14 | 
| Last Update Date | 2014-04-03 |