| NPI | 1134531130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0088062) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NV 17285) |
| 208000000X Pediatrics (Licence: DC MD047641) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-05-24 |
| Last Update Date | 2020-04-10 |