| NPI | 1578852182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TN MD55819) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD55819) |
| 208000000X Pediatrics (Licence: GA 71758) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2022-03-22 |