| NPI | 1669715793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM A-1948-16) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM R09-2013) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2016-06-30 |