| NPI | 1497175616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2016-02585) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 201412) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2022-07-21 |