| NPI | 1285825315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: LA MD.204024) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: LA GETP.LSU.PD) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2015-01-02 |