| NPI | 1043586969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WA MD60564662) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD 60564662) |
| 208000000X Pediatrics (Licence: WA 60292818) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2021-10-27 |