| NPI | 1588804082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: HI DOS-1211) |
| Additional Taxonomies | 208D00000X General Practice (Licence: HI DOS-1211) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2022-01-06 |