| NPI | 1245406339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 53926) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: ND 12324) | |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2012-06-20 |