| NPI | 1174051189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IA DO-06503) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-10950) |
| 208000000X Pediatrics (Licence: IA DO-06503) | |
| 208000000X Pediatrics (Licence: NM A-2401-20) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2024-10-21 |