| NPI | 1619137346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MI 4301092064) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301092064) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301092064) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2015-04-17 |