| NPI | 1700248804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0102207080) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC DO034839) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 63821) | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2022-07-05 |