| NPI | 1558716449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CT 70458) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 070458) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 218498) | |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2024-06-18 |