| NPI | 1699904607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.125241) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: SC MD 34589) | |
| Enumeration Date | 2009-07-11 |
| Last Update Date | 2015-07-23 |