| NPI | 1255633939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 271712) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2015-05-18 |