| NPI | 1265962559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2021-01736) |
| Additional Taxonomies | 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: NC 2021-01736) |
| 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: OR MD202407) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2022-09-16 |