| NPI | 1447548243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL OS12728) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL OS12728) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL UO2906) | |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2018-09-11 |