| NPI | 1275092546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301512191) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD211112) |
| 208000000X Pediatrics (Licence: MI 4351050437) | |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: OR MD211112) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2024-06-29 |