| NPI | 1598170706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2017-00786) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 13458-I) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2017-07-27 |