| NPI | 1649432618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 036-130482) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101021950) |
| 208000000X Pediatrics (Licence: MI 5101021950) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2022-09-19 |