| NPI | 1538492368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A121619) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 259834) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2021-12-15 |