| NPI | 1700229960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 1123296) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP03280) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: 63289) | |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2020-10-26 |