| NPI | 1215223409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A1319591) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116023276) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-06-25 |
| Last Update Date | 2018-06-11 |