| NPI | 1528276722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MS 23807) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MO 2012003238) | |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2017-04-21 |