| NPI | 1407057854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C171601) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 258408) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: NY 258408) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2022-09-15 |