| NPI | 1144601154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 61505) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A146673) |
| 208000000X Pediatrics (Licence: MD D0087334) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2022-07-12 |