| NPI | 1316262660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2016-02271) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML 60156868) |
| 208000000X Pediatrics (Licence: PA MD448700) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2022-08-16 |