| NPI | 1538519939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CT 71858) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT017312) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2022-08-03 |