| NPI | 1093012452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A116732) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 091309990) |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2023-01-30 |