| NPI | 1174815609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TN 55600) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 46760) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MS 24948) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2021-10-31 |