| NPI | 1114361144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: ND 16608) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 50365) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-21 |
| Last Update Date | 2020-09-25 |