| NPI | 1295020915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL MD.32696) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 557710) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2014-06-20 |