| NPI | 1174934368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI MD19234) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0070816) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-05-10 |
| Last Update Date | 2023-04-28 |