| NPI | 1598109605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX Q7761) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP1-0045920) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX Q7761) | |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2021-02-18 |