| NPI | 1518226877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2016-01013) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2016-01013) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 182715) | |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2021-08-21 |