| NPI | 1356560130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: HI MD-14902) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: HI MD-14902) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2023-08-11 |