| NPI | 1649404419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: OH 126996) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD445756) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT201531) | |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2015-12-15 |