| NPI | 1083060396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WA MD60945855) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60945855) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: LA 333542) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2022-12-20 |