| NPI | 1396214540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MN 68966) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 68966) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A175829) | |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2024-06-19 |