| NPI | 1154613289 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: NV 16552)  | 
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: GA 072391)  | 
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: NV 16552)  | |
| 208M00000X Hospitalist (Licence: NV 16552)  | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-05-08 | 
| Last Update Date | 2021-08-30 |