| NPI | 1518221894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A161343) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101255655) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-07-01 |
| Last Update Date | 2019-08-19 |