| NPI | 1518309913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 6968) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA 390200000) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2017-05-17 |