| NPI | 1710189337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: LA MD.207632) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0071882) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2015-09-25 |