| NPI | 1215197538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS11269) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL UO1839) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2023-03-06 |