| NPI | 1417213943 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OK 34510) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD172189) | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-10 | 
| Last Update Date | 2024-11-06 |