| NPI | 1417311374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.150664) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA md468228) |
| 208000000X Pediatrics (Licence: CA a163063) | |
| 208000000X Pediatrics (Licence: OH 35.136445) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2020-04-07 |