| NPI | 1336304385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VT 042.0012921) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 248992) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2023-06-30 |