| NPI | 1558672048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E-9778) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD449288) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125058751) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2018-05-30 |