| NPI | 1700012317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: CA 159404) |
| Additional Taxonomies | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: TX BP10045654) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM MD2013-0827) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10045654) | |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2018-12-06 |