| NPI | 1326432444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 62963) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: WY TL4377) | |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2022-03-16 |