| NPI | 1043581713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A169667) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD462321) |
| 208000000X Pediatrics (Licence: CA A169667) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2021-12-29 |