| NPI | 1053708313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.159444) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX R7868) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10052449) | |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2022-04-01 |