| NPI | 1144547787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 1014463) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 264117) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2023-06-30 |