| NPI | 1467716621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: TX P9915) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 15748) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: FL ME162310) | |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2023-05-03 |