| NPI | 1629232707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH 15264) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NH 15264) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2011-09-30 |