| NPI | 1548227846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ND PT10964) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 1597) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 50095) | |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2022-03-25 |