| NPI | 1295093714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 280390) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 63206) |
| 208000000X Pediatrics (Licence: NJ 25MA10032100) | |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2017-04-07 |