| NPI | 1669748604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60577173) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60292823) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2025-07-10 |