| NPI | 1508032533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 265804) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 141449) |
| 208000000X Pediatrics (Licence: MA 242822) | |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2015-12-14 |