| NPI | 1043522436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH 16321) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NH 390200000X) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2013-10-03 |