| NPI | 1346484862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN MD53495) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35-099511) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2019-12-03 |