| NPI | 1245520501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 34013124) |
| Additional Taxonomies | 2080A0000X Pediatrics Adolescent Medicine (Licence: OH 34013124) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2022-09-28 |