| NPI | 1104243666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics Pediatric Infectious Diseases (Licence: CA A168792) |
| Additional Taxonomies | 2080P0208X Pediatrics Pediatric Infectious Diseases (Licence: PA MT212508) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-03-23 |
| Last Update Date | 2020-09-02 |