| NPI | 1144648999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA ML. 60469773) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA 60469773) |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2021-12-17 |