| NPI | 1598085805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ID M-17717) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM MD2013-0622) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2024-04-23 |