| NPI | 1114211323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101261192) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD044457) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208000000X Pediatrics (Licence: MA 258115) | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2016-09-13 |