| NPI | 1316156623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 45276) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01065369A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11013449A) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-10-19 |