| NPI | 1356635205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036144034) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0077850) |
| 208000000X Pediatrics (Licence: MI 4301107931) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2018-05-15 |