| NPI | 1255652731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WA MD60697601) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2016-11-02 |