| NPI | 1639564008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: AK 179924) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116028448) |
| 208000000X Pediatrics (Licence: KY 51026) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2021-09-10 |