| NPI | 1598055998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2022-02455) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NC 2022-02455) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: LA 306796) | |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2022-09-30 |