| NPI | 1629395595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA09256800) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C7-0004487) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2022-12-08 |