| NPI | 1679828461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 62272) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL AC3890313-T060) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2022-07-21 |