| NPI | 1225425515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: KY 55490) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2021-06-28 |