| NPI | 1043503675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA 156570) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT199395) |
| 207R00000X Internal Medicine (Licence: PA MT199395) | |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2018-10-12 |