| NPI | 1508210519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TN 65616) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2019-01068) |
| 208000000X Pediatrics (Licence: TN 65616) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NC 2019-01068) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2024-01-17 |