| NPI | 1588835102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NJ 25MA09884100) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 262344) |
| 208000000X Pediatrics (Licence: MN 57898) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2019-04-17 |