| NPI | 1053617738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101257852) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2011-01069) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2024-02-23 |