| NPI | 1417213281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A151853) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ZZ 0000000) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2018-10-16 |