| NPI | 1225217094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 201000169) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 141253) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2021-12-22 |