| NPI | 1366709586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI MD-19593) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA MD.207464) |
| 208000000X Pediatrics (Licence: TX Q4835) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2024-02-05 |