| NPI | 1326304346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 04288) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 9394945-1204) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2018-06-21 |