| NPI | 1558780742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: GA 82714) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.131112) |
| 208000000X Pediatrics (Licence: GA 82714) | |
| 2080H0002X (Licence: GA 82714) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2023-10-02 |