| NPI | 1467871491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.139691) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301112796) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NE 33800) | |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2021-09-09 |