| NPI | 1285051219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AZ 60861) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10049638) |
| 208000000X Pediatrics (Licence: WA ML60551082) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2020-12-10 |