| NPI | 1548556376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WA MD.MD.60713594) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: UT 9019510-1205) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10040472) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2017-11-28 |