| NPI | 1659544229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD442520) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE c7-0004070) |
| 208000000X Pediatrics (Licence: PA MT192512) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208000000X Pediatrics (Licence: DE C1-0009990) | |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2012-12-19 |