| NPI | 1528314747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A155685) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 73396) |
| 208000000X Pediatrics (Licence: MI 4301100699) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301100699) | |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2024-01-16 |