| NPI | 1154612018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: DE C100) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DE 1154612018) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2022-07-21 |