| NPI | 1124174719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX N6170) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL-1188) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10029584) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2021-01-21 |