| NPI | 1518378538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 321850) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 55877) |
| 208000000X Pediatrics (Licence: MS T-2772) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2021-01-27 |