| NPI | 1174641054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD444849) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: NJ 25MA09480300) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2014-10-30 |