| NPI | 1093179129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0086933) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MD D0086933) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2020-12-10 |