| NPI | 1487048310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX R9074) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX 1487048310) |
| 208000000X Pediatrics (Licence: NM 1487048310) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2020-12-22 |