| NPI | 1558673632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 120063) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA a120063) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2019-02-20 |