| NPI | 1265744783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A125350) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 61005) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A125350) | |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2013-08-06 |