| NPI | 1043650070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A143951) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 67036) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2022-05-31 |